Tag alveolar infiltrates
Pulmonary Puzzler 340

Rapid descent

A 30 year old male presents with a 3 day history of fevers and increasing breathlessness. On presentation he is noted to be severely hypoxic with sats of 80% on room air. The following chest X-ray is obtained:
Pulmonary Puzzler 340

Pneumonia gone bad

Consider a 56 year old male with no past medical history presenting with 10 days of fevers, chills, myalgia and cough followed by worsening breathlessness over the past 4 days.